DEPARTMENT OF INSURANCE

Affiliations

Name	Sams, Jimmy Ray	DOIID	338301	NAIC NPN	6386279

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	2/24/1995	8/12/1996
Inactive	Resident	Agent	Life	11/3/1993	5/1/2024
Inactive	Resident	Agent	Health	11/3/1993	5/1/2024
Inactive	Resident	Agent	Property	2/15/1994	5/1/2024
Inactive	Resident	Agent	Casualty	5/11/2005	5/1/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	2/5/2007	8/4/2008
Inactive	AIG Assurance Company	300897	Agent - Property	2/5/2007	8/4/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	5/1/2020	5/1/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	5/1/2020	5/1/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	3/17/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	3/17/2015
Inactive	American General Life Insurance Company	301585	Agent - Health	3/31/2003	3/24/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	3/31/2003	3/24/2011
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	11/3/1993	2/4/2005
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	11/3/1993	2/4/2005
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/5/2005	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/5/2005	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2016	11/14/2021
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	5/16/2006	5/1/2024
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/16/2006	5/1/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/24/2005	12/28/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/24/2005	12/28/2009
Inactive	Assurance Company of America	300432	Agent - Casualty	5/16/2006	12/17/2014
Inactive	Assurance Company of America	300432	Agent - Property	5/16/2006	12/17/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	9/25/2020	8/15/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/25/2020	8/15/2022
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	9/25/2020	8/15/2022
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	9/25/2020	8/15/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/4/2016	5/1/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/4/2016	5/1/2024
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/20/2011
Inactive	Employers Assurance Company	300120	Agent - General Lines	2/24/1995	8/12/1996
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	8/18/2016	5/1/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/18/2016	5/1/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	8/18/2016	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	8/18/2016	12/13/2018
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	7/1/2005	5/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	7/1/2005	5/23/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/21/2013	5/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/21/2013	5/1/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/4/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/4/2005	11/10/2008
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/3/2021	9/23/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/3/2021	9/23/2023
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/3/2021	9/23/2023
Inactive	Grange Insurance Company	300234	Agent - Property	5/3/2021	9/23/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/3/2021	9/23/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/3/2021	9/23/2023
Inactive	Granite State Insurance Company	300818	Agent - Casualty	2/5/2007	8/4/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	2/5/2007	8/4/2008
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	2/5/2007	8/4/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	2/5/2007	8/4/2008
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	1/12/2005	4/8/2005
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	3/17/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	3/17/2015
Inactive	Maryland Casualty Company	301719	Agent - Casualty	5/16/2006	12/17/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	5/16/2006	12/17/2014
Inactive	Milbank Insurance Company	925185	Agent - Casualty	6/24/2021	5/1/2024
Inactive	Milbank Insurance Company	925185	Agent - Property	6/24/2021	5/1/2024
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	5/26/2005	9/20/2007
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	5/26/2005	9/20/2007
Inactive	National Specialty Insurance Company	300993	Agent - Property	2/15/1994	8/12/1996
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	2/15/2017	9/18/2022
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	2/15/2017	9/18/2022
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	7/14/2005	9/18/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	7/14/2005	9/18/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Property	7/14/2005	9/18/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	2/24/2021	9/18/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	2/24/2021	9/18/2022
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/12/2006	9/18/2022
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/12/2006	9/18/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/15/2007	9/18/2022
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	7/14/2005	9/18/2022
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	7/14/2005	9/18/2022
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/14/2005	9/18/2022
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	7/14/2005	9/18/2022
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	7/14/2005	9/18/2022
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	7/14/2005	9/18/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	10/20/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	5/16/2006	12/17/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	5/16/2006	12/17/2014
Inactive	Oakwood Insurance Company	300453	Agent - Property	8/20/1996	2/4/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	3/17/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	3/17/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	3/17/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	3/17/2015
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	5/22/2000	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	5/22/2000	3/31/2003
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/25/2020	8/15/2022
Inactive	Owners Insurance Company	300796	Agent - Property	9/25/2020	8/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	10/20/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	2/28/2006	9/20/2007
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	2/28/2006	9/20/2007
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	8/4/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	8/4/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/1/2020	5/1/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/1/2020	5/1/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/1/2020	5/1/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/1/2020	5/1/2024
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/5/2020	5/1/2024
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/5/2020	5/1/2024
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/12/2005	4/8/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/12/2005	4/8/2005
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/7/2008	5/8/2012
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	5/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	5/23/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/3/2021	9/23/2023
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/3/2021	9/23/2023
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/15/2007	12/28/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/15/2007	12/28/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	3/17/2015
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	3/17/2015
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/12/1999	1/15/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/24/2005	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/24/2005	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	12/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	12/30/2009
Inactive	NBS Insurance Agency Inc	515576	Agent - Property	3/19/2007	5/1/2024
Inactive	NBS Insurance Agency Inc	515576	Agent - Casualty	3/19/2007	5/1/2024
Inactive	Parsons & Howard Insurance Group LLC	782656	Agent - Property	11/30/2012	5/1/2024
Inactive	Parsons & Howard Insurance Group LLC	782656	Agent - Life	11/30/2012	9/18/2022
Inactive	Parsons & Howard Insurance Group LLC	782656	Agent - Health	11/30/2012	9/18/2022
Inactive	Parsons & Howard Insurance Group LLC	782656	Agent - Casualty	11/30/2012	5/1/2024
Inactive	Southeast Kentucky Insurance Agency Inc.	608914	Agent - Property	6/7/2005	3/31/2007
Inactive	Southeast Kentucky Insurance Agency Inc.	608914	Agent - Life	5/17/2005	3/31/2007
Inactive	Southeast Kentucky Insurance Agency Inc.	608914	Agent - Health	5/17/2005	3/31/2007
Inactive	Southeast Kentucky Insurance Agency Inc.	608914	Agent - Casualty	6/7/2005	3/31/2007
Inactive	Southeast Ky Ins.	844390	Agent - Property	7/1/2014	3/31/2022
Inactive	Southeast Ky Ins.	844390	Agent - Life	7/1/2014	3/31/2022
Inactive	Southeast Ky Ins.	844390	Agent - Health	7/1/2014	3/31/2022
Inactive	Southeast Ky Ins.	844390	Agent - Casualty	7/1/2014	3/31/2022